Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SANDY › DAVID ANDERSON DENTAL LLC

DAVID ANDERSON DENTAL LLC

NPI: 1841886470 · SANDY, UT 84093 · Pediatric Dentist · NPI assigned 12/17/2020

$31K
Total Medicaid Paid
883
Total Claims
872
Beneficiaries
4
Codes Billed
2021-05
First Month
2023-10
Last Month

Provider Details

Authorized OfficialANDERSON, DAVID (OFFICE MANAGER)
NPI Enumeration Date12/17/2020

Related Entities

Other providers sharing the same authorized official: ANDERSON, DAVID

ProviderCityStateTotal Paid
LYDIA HOME ASSOCIATION CHICAGO IL $5.04M
TERRE HAUTE HOME HEALTH CARE PRODUCTS INC TERRE HAUTE IN $1.16M
TERRE HAUTE HOME HEALTH CARE PRODUCTS INC BLOOMINGTON IN $108K
MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC DAVENPORT IA $76K
CHEQUAMEGON SCHOOL DISTRICT PARK FALLS WI $45K
DAVID P ANDERSON DDS PLLC DURANGO CO $6K
DIAL 4 CARE, INC. MIAMI LAKES FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 221 $5K
2022 650 $25K
2023 12 $257.28

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 274 268 $29K
D1206 Topical application of fluoride varnish 299 296 $810.93
D1120 Prophylaxis - child 257 256 $591.93
D0272 Bitewings - two radiographic images 53 52 $0.00